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NPI Code Detail

MEDICARE: MRS. DANA TREAT APN

MEDICARE: MRS. DANA TREAT APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA03425 ANPAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871808048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA TREAT APN
Provider Business Mailing Address
First Line : 145 SHAKE RAG RD
Second Line :
City : CLINTON
State : AR
Zip : 72031-6682
Country : US
Telephone Number : 501-745-7161
Fax Number : 501-745-8714
Provider Business Practice Location Address
First Line : 145 SHAKE RAG RD
Second Line :
City : CLINTON
State : AR
Zip : 72031-6682
Country : US
Telephone Number : 501-745-7161
Fax Number : 501-745-8714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 04/14/2016

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